Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report

Abstract Background The finding of hematological malignancies within bone marrow in heterotopic ossification has been reported only a handful of times previously in the literature. We described a case of true trilineage hematopoiesis in an excised area of heterotopic ossification from an enucleated...

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Main Authors: Alfredo Borgia, Sofia Manara, Monica Balzarotti, Paolo Vinciguerra, Alessandra Di Maria
Format: Article
Language:English
Published: BMC 2020-07-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-020-02430-9
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author Alfredo Borgia
Sofia Manara
Monica Balzarotti
Paolo Vinciguerra
Alessandra Di Maria
author_facet Alfredo Borgia
Sofia Manara
Monica Balzarotti
Paolo Vinciguerra
Alessandra Di Maria
author_sort Alfredo Borgia
collection DOAJ
description Abstract Background The finding of hematological malignancies within bone marrow in heterotopic ossification has been reported only a handful of times previously in the literature. We described a case of true trilineage hematopoiesis in an excised area of heterotopic ossification from an enucleated blind painful eye. Case presentation A 70-year-old Caucasian man, positive for asymptomatic lymphoplasmacytic lymphoma, presented with a blind painful right eye in our ophthalmology department to evaluate enucleation bulbi. After enucleation, a histopathologic examination revealed the presence of intertrabecular infiltration in the metaplastic bone marrow of non-Hodgkin B lymphoma, with small lymphocytes, with similar characteristics to the already known disease. Conclusion This uncommon case reveals the possibility of the localization of malignant cells within bone metaplasia of intraocular ossification in an enucleated blind painful eye. From a practical point of view, a careful systematic histopathological examination of all resected tissues in patients with a history of malignant neoplastic pathology is necessary to confirm the diagnosis and exclude occult malignancies.
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spelling doaj.art-a05f5389e530451bb45056e96b9fecb52022-12-22T01:56:05ZengBMCJournal of Medical Case Reports1752-19472020-07-011411410.1186/s13256-020-02430-9Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case reportAlfredo Borgia0Sofia Manara1Monica Balzarotti2Paolo Vinciguerra3Alessandra Di Maria4Humanitas University, Department of Biomedical SciencesHumanitas Clinical and Research Center – IRCCSHumanitas Clinical and Research Center – IRCCSHumanitas University, Department of Biomedical SciencesHumanitas University, Department of Biomedical SciencesAbstract Background The finding of hematological malignancies within bone marrow in heterotopic ossification has been reported only a handful of times previously in the literature. We described a case of true trilineage hematopoiesis in an excised area of heterotopic ossification from an enucleated blind painful eye. Case presentation A 70-year-old Caucasian man, positive for asymptomatic lymphoplasmacytic lymphoma, presented with a blind painful right eye in our ophthalmology department to evaluate enucleation bulbi. After enucleation, a histopathologic examination revealed the presence of intertrabecular infiltration in the metaplastic bone marrow of non-Hodgkin B lymphoma, with small lymphocytes, with similar characteristics to the already known disease. Conclusion This uncommon case reveals the possibility of the localization of malignant cells within bone metaplasia of intraocular ossification in an enucleated blind painful eye. From a practical point of view, a careful systematic histopathological examination of all resected tissues in patients with a history of malignant neoplastic pathology is necessary to confirm the diagnosis and exclude occult malignancies.http://link.springer.com/article/10.1186/s13256-020-02430-9Intraocular heterotopic ossificationExtramedullary hematopoiesisSmall lymphocytic lymphoma
spellingShingle Alfredo Borgia
Sofia Manara
Monica Balzarotti
Paolo Vinciguerra
Alessandra Di Maria
Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report
Journal of Medical Case Reports
Intraocular heterotopic ossification
Extramedullary hematopoiesis
Small lymphocytic lymphoma
title Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report
title_full Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report
title_fullStr Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report
title_full_unstemmed Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report
title_short Small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye: a case report
title_sort small lymphocytic lymphoma in true trilineage hematopoietic tissue within heterotopic ossification in an enucleated blind painful eye a case report
topic Intraocular heterotopic ossification
Extramedullary hematopoiesis
Small lymphocytic lymphoma
url http://link.springer.com/article/10.1186/s13256-020-02430-9
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